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General NPI Number Information
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NPI Number | 1578780870
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Entity Type | Organization
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Legal Business Name | ASCENSION SETON
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 04/08/2019
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Provider Practice Location Address
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Address Line | 201 SETON PARKWAY
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City | ROUND ROCK
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State | TX
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Zip | 78665-8000
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Country | US
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Telephone | 512-324-4000
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Fax | 512-324-4650
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Provider Business Mailing Address
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Address Line | 1345 PHILOMENA ST.
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City | AUSTIN
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State | TX
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Zip | 78723-3185
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Country | US
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Telephone | 512-323-4100
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Fax | 512-459-5629
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | CRAIG CORDOLA
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Credential |
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Telephone | 512-324-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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